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Individual

DR. MARK MERTEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
3354 N PAULINA ST STE 206F, CHICAGO, IL 60657-1087
(773) 502-1057
Mailing address
6006 N MASON AVE, CHICAGO, IL 60646-3906
(773) 502-1057

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071005424
IL

Other

Enumeration date
05/19/2011
Last updated
10/10/2019
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